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如果将健康保险制度的目标理解为改善和提高人群健康水平,各国的现行健康保险模式是否与之匹配?为回答这个问题,将健康保险筹资结构作为自变量,人群健康水平作为因变量,经济、医疗、就业、消费等作为中间变量,结合2005~2013年间180个国家的数据,建立结构方程模型进行定量分析。研究发现:由于中介效应的存在,筹资模式的差异会导致制度绩效的不同。其中,公共筹资模式可以较好达成健康改善目标,私人筹资模式对人群健康水平的改善不明显但能够有效促进经济发展,税收混合模式与公共筹资模式的作用相似。
If the goal of the health insurance system is to be understood as improving and improving the health of the population, is the existing health insurance model of each country matching? To answer this question, taking the health insurance financing structure as the independent variable and the population health level as dependent variables, Medical treatment, employment and consumption as the intermediate variables. Based on the data of 180 countries from 2005 to 2013, a structural equation model was established for quantitative analysis. The study found that: due to the existence of intermediary effects, differences in funding models will lead to different institutional performance. Among them, the public financing model can better achieve the goal of health improvement. The private financing model has not obvious improvement to the population health level but can effectively promote the economic development. The tax blending model and the public financing model have similar functions.